Piedmont Mountainside — price list
← Hospital overviewVerified from Piedmont Mountainside’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Showing the first 1,500 prices from a large file. Search a procedure or code below to narrow the list.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
1,500 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| (comm) cath lithoplasty 110cm 60mm 5mm .064in ultrasound per Inpatient & outpatient | SUP-M732LPBC5060DX1 CDM | $17,325 | $5,198 | $1,882 – $14,726 | — | |
| (comm) mntr cardiac lux-dx insertable sterile latex free dis Inpatient & outpatient | SUP-M301 CDM | $23,940 | $7,182 | $2,600 – $20,349 | — | |
| (comm) sheath amplatzer 75cm 14f delivery steerable sterile Inpatient & outpatient | SUP-ASDS-14F-075 CDM | $6,900 | $2,070 | $749 – $5,865 | — | |
| (eval) 28 fr. thoraguard chest tube kit (box of 10) Inpatient & outpatient | SUP-TGCT120028 CDM | $1,580 | $474 | $172 – $1,343 | — | |
| (eval) agent dcb catheter 2.0mm x 40mm Inpatient & outpatient | SUP-H7493960840200 CDM | $0.01 | — | $0.01 – $0.01 | — | |
| (eval) crimper activator Inpatient & outpatient | SUP-DMS-28829 CDM | $0.01 | — | $0.01 – $0.01 | — | |
| (eval) edwards pascal precision transcatheter valve repair s Inpatient & outpatient | SUP-20000ISMCL CDM | $171,000 | $51,300 | $18,571 – $145,350 | — | |
| (eval) implant delivery system with implant loading tool Inpatient & outpatient | SUP-FG-1001-03 CDM | $0.01 | — | — | — | |
| (eval) monitor cardiac lux dx insertable Inpatient & outpatient | SUP-M301 CDM | $0.01 | — | $0.01 – $0.01 | — | |
| (eval) neo ipg model 2102 Inpatient & outpatient | SUP-100054-201 CDM | $0.01 | — | — | — | |
| (eval) optimap catheter gen 2b Inpatient & outpatient | SUP-OPTICATH2-60 CDM | $0.01 | — | — | — | |
| (eval) prevail dcb 3.5x20mm Inpatient & outpatient | SUP-PRV035020CX CDM | $0.01 | — | $0.01 – $0.01 | — | |
| (eval) safari guidewire Inpatient & outpatient | SUP-H74939406XS0 CDM | $0.01 | — | $0.01 – $0.01 | — | |
| (eval) selution deb 2.75x30 Inpatient & outpatient | SUP-SCA14U-275030D CDM | $0.01 | — | $0.01 – $0.01 | — | |
| (eval) sl combined kit withcan-clip long buckle 2mm model 1037 Inpatient & outpatient | SUP-100063-222 CDM | $0.01 | — | — | — | |
| (eval) tactiflex ablation catheter, sensor enabled Inpatient & outpatient | SUP-A-TFSE-FF-CLIN CDM | $0.01 | — | — | — | |
| (eval) tandem 2 duo anchor system large Inpatient & outpatient | SUP-PN0610-618 CDM | $0.01 | — | — | — | |
| (eval) trilogy heart valve (size 25) Inpatient & outpatient | SUP-TRILOGY-THV-M CDM | $199,500 | $59,850 | $21,666 – $169,575 | — | |
| (eval) valve aortic 14mm 21mm avalus ultra 21mm bovine peric Inpatient & outpatient | SUP-400U21 CDM | $36,225 | $10,868 | $3,934 – $30,791 | — | |
| (eval) valve aortic 20mm sapien 3 edwards heart transcathete Inpatient & outpatient | SUP-9750TFX20A CDM | $171,000 | $51,300 | $18,571 – $145,350 | — | |
| (eval) valve aortic 23mm sapien 3 edwards heart transcathete Inpatient & outpatient | SUP-9750TFX23A CDM | $171,000 | $51,300 | $18,571 – $145,350 | — | |
| (eval) wise pulse generator battery Inpatient & outpatient | SUP-MODEL3100 CDM | $31,500 | $9,450 | $3,421 – $26,775 | — | |
| (eval)j valve bioprosthesis 22 Inpatient & outpatient | SUP-ETF-22 CDM | $199,500 | $59,850 | $21,666 – $169,575 | — | |
| **do not reuse item # - ps go live issue**pouch ostomy trans Inpatient & outpatient | SUP-18103 CDM | $0.72 | $0.22 | $0.08 – $0.61 | — | |
| **do not reuse item # - ps go live issue**wafer ostomy STD 1 Inpatient & outpatient | SUP-14202 CDM | $0.65 | $0.19 | $0.07 – $0.55 | — | |
| 27 mm lotus edge aortic valve system and large lotus introdu Inpatient & outpatient | SUP-B0M27EDGELGIS CDM | $185,250 | $55,575 | $20,118 – $157,463 | — | |
| 3.4 x 3.0 x 18mm two-step hammer toe implant Inpatient & outpatient | SUP-204-30-018 CDM | $9,833 | $2,950 | — | — | |
| 3.5 x 20mm ma screws Inpatient & outpatient | SUP-8975320 CDM | $3,795 | $1,139 | $412 – $3,226 | — | |
| 5f quad 2-5-2 mpb 120cm Inpatient & outpatient | SUP-901440 CDM | $1,013 | $304 | $110 – $861 | — | |
| 6.0mm ti matrix polyaxial screw 55mm thread length Inpatient & outpatient | SUP-04.632.655 CDM | $3,795 | $1,139 | $412 – $3,226 | — |